Allan Kipngeno

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Little Rock Afb, AR

NPI 1891337572 · NPPES record last updated Jul 10, 2025

Key facts

NPI
1891337572
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
RPH031759 (GA)
Practice address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone
(501) 987-7446
NPI assigned
Oct 14, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RPH031759GAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Dec 1, 2022
Accepting new patients
Walgreen Co Past
since Dec 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH031759 GA Yes

Addresses

Primary practice location

1090 Arnold Dr
Little Rock Afb, AR 72099-4933

Mailing address

1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone (501) 987-7446

Other providers in Little Rock Afb, AR

All providers in Little Rock Afb, AR · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Arkansas

Sources for this page

Verify at the official NPI Registry.